The Journal of the Convergence on Culture Technology
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v.5
no.4
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pp.87-92
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2019
The purpose of this study is to investigate the preparation time of fire-fighting water for public fire hydrants and ground, underground fire hydrants. The equipment preparation time for stage 1 was 20.50 seconds for ground type and 24.67 seconds for underground type. The reason for this difference in preparation time is that an underground fire hydrant requires additional standpipes to connect to the main conduit of Paru and the underground hydrant, which open the manhole cover. Water tank Maintenance joint with water hose male coupling of the second stage was similar to that of the ground type of 48.50 seconds and underground water tipe of 49.00 seconds. This is because the operation of connecting the fire hose to the maintenance tank of the water tank car is the same. In the third stage, the water pipe connection was 43 seconds for ground type and 174.33 seconds for underground type. The reason why the time for connecting the water pipe to the fire hydrant is large difference is that the underground fire hydrant is opened by opening the manhole cover, After connecting the stand pipe to the fire hydrant, the additional process of connecting the water pipe to the stand pipe is required, which is considered to have greatly increased the time required. The opening of Water Control Valve and spindle Valve in the fourth stage was 66.50 seconds for the ground type and 78.83 seconds for the underground type. This difference is due to the fact that the spindle of the ground fire hydrant is located on the main body and can be easily opened, but the underground type is located next to the main body under the manhole and requires additional time to connect the opening equipment.
Numerous valley waters originating from Mt. Mudeung and flowing into Gwangju Cheon flowed into the confluence-type sewage conduit, the Gwangju Cheon became dry and water quality deteriorated. In this study, a method to create a stream was studied by using the valley water of Mt. Mudeung in the Gwangju cheon that flows into the sewage treatment plant as a water source. Flow and water quality surveys were investigated at four points with meaningful flow quantity. As a result, it showed a flow quantity was 105~2,721 m3/day at each point. And the average water quality was BOD5 0.3~1.6 mg/L. If a stream with a flow quantity of 1,500 m3/day is created during the dry season and then flows into the Namgwang bridge of Gwangju cheon, it is predicted that there will be improvements in BOD 7.3%, COD 6.5%, T-P 5.8%, and T-N 5.2%. In addition, it was determined that the load on the flow quantity of the sewage treatment plant due to the inflow of valley water would be reduced, the cost of sewage treatment would be reduced, and it would be the basis for BGN construction by creating waterside amenity in the city.
The implementation of the sunset provision of unexecuted urban parks in Seoul has been postponed; however, the mentioned parks still remain vulnerable since they can be subject to development under certain circumstances. Local governments may purchase the parks to prevent their loss but are constrained due to limited resources. The purpose of this study is to prioritize the purchase of unexecuted urban parks in Seoul based on landscape connectivity, which represents the important role of allowing the movement of wildlife and providing biodiversity in urban environments. In this study, we used four potential scenarios (PB100, PB1, PA100, PA1), which reflects the degree of land cover change resulting from the implementation of the sunset provision, and the role of Han River as a conduit or barrier for wildlife movement. Landscape connectivity was evaluated by calculating current flow betweenness centrality (CFBC). This was used to rank the importance of the unexecuted urban parks in Seoul. The results demonstrated that the implementation of the sunset provision will greatly decrease the connectivity of all parks in Seoul and particularly more so for parks in the southern part of the city. In addition, the results suggested that the low connectivity of Han river will diminish the connectivity around Bukhansan Mountain in the northern part of Seoul. Our study can be used for the prioritization of purchase, since it has the ability to evaluate the anticipated vulnerability of each park's connectivity after the sunset provision.
Generally it was known that member forces in the earthquake resistant design is lower than those in the general design. But it is not true in cases of water treatment underground structures, which is different in each case like water treatment plant, sedimentation basin, and utility-pipe conduit. Also, looking at the scale of earthquakes that have recently occurred in Korea, large-scale earthquakes are frequent, so when the magnitude of the design seismic force increases, it is necessary to investigate the seismic behavior of the water treatment underground structure and to deal with it. In this study the change rate of member forces was investigated by the change of design load factor (earthquake acceleration design criteria), earth depth, underground water level. The pseudo-static analysis and response displacement method was applied, and various analyzes were conducted depending on the ground water and soil depth. The proposed formula in this study will be efficient when the earthquake design code of water treatment underground structures is revised.
Background: Surgical repair of partial anomalous pulmonary venous return (PAPVR) to the superior vena cava (SVC) using the Warden procedure has favorable outcomes. However, there remain some concerns after the Warden procedure, such as sinoatrial nodal dysfunction and systemic or pulmonary venous stenosis. We investigated the outcomes of the Warden procedure for repair of PAPVR to the SVC. Methods: This retrospective study included 22 consecutive patients who underwent the Warden procedure for PAPVR between 2002 and 2018. The median age and body weight at operation were 27.5 months (interquartile range [IQR], 5.0-56.8 months) and 13.2 kg (IQR, 6.5-16.0 kg), respectively. The median follow-up duration was 6.2 years (IQR, 3.5-11.6 years). Results: There were no cases of early or late mortality. No patients had postoperative heart rhythm problems, except 1 patient who showed transient sinoatrial nodal dysfunction in the immediate postoperative period. Procedure-related complications requiring reintervention occurred in 5 patients, including 3 of 4 SVC stenosis cases and 2 pulmonary venous stenosis cases during follow-up. The rate of freedom from reintervention related to the Warden procedure was 75.9% at 10 years. Conclusion: In cases requiring extension or creation of an atrial septal defect to achieve a sufficient venous pathway, or interposition of an entire circumferential conduit between the SVC and right atrium due to the shortness of the SVC in the Warden procedure, stenotic complications of the venous pathway occurred. Careful observation of changes in the pressure gradient or anatomical stenosis is required in such patients.
Yoonseo Lee;Jeonghee Yun;Yeong Jeong Jeon;Junghee Lee;Seong Yong Park;Jong Ho Cho;Hong Kwan Kim;Yong Soo Choi;Young Mog Shim
Journal of Chest Surgery
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v.57
no.1
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pp.62-69
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2024
Background: Cervical esophageal cancer is a rare malignancy that requires specialized care. While definitive chemoradiation is the standard treatment approach, surgery remains a valuable option for certain patients. This study examined the surgical outcomes of patients with cervical esophageal cancer. Methods: The study involved a retrospective review and analysis of 24 patients with cervical esophageal cancer. These patients underwent surgical resection between September 1994 and December 2018. Results: The mean age of the patients was 61.0±10.2 years, and 22 (91.7%) of them were male. Furthermore, 21 patients (87.5%) had T3 or T4 tumors, and 11 (45.8%) exhibited lymph node metastasis. Gastric pull-up with esophagectomy was performed for 19 patients (79.2%), while 5 (20.8%) underwent free jejunal graft with cervical esophagectomy. The 30-day operative mortality rate was 8.3%. During the follow-up period, complications included leakage at the anastomotic site in 9 cases (37.5%) and graft necrosis of the gastric conduit in 1 case. Progression to oral feeding was achieved in 20 patients (83.3%). Fifteen patients (62.5%) displayed tumor recurrence. The median time from surgery to recurrence was 10.5 months, and the 1-year recurrence rate was 73.3%. The 1-year and 3-year survival rates were 75% and 33.3%, respectively, with a median survival period of 17 months. Conclusion: Patients with cervical esophageal cancer who underwent surgical resection faced unfavorable outcomes and relatively poor survival. The selection of cases and decision to proceed with surgery should be made cautiously, considering the risk of severe complications.
This study conducts an analysis of social media big data pertaining to island tourism resources, aiming to discern the diverse forms and categories of island tourism favored by consumers, ascertain predominant resources, and facilitate objective decision-making grounded in scientific methodologies. To achieve this objective, an examination of blog posts published on Naver from 2022 to 2023 was undertaken, utilizing keywords such as 'Island tourism', 'Island travel', and 'Island backpacking' as focal points for analysis. Text mining techniques were applied to sift through the data. Among the resources identified, the port emerged as a significant asset, serving as a pivotal conduit linking the island and mainland and holding substantial importance as a focal point and resource for tourist access to the island. Furthermore, an analysis of the disparity between existing island tourism resources and those acknowledged by tourists who actively engage with and appreciate island destinations led to the identification of 186 newly emerging resources. These nascent resources predominantly clustered within five regions: Incheon Metropolitan City, Tongyeong/Geoje City, Jeju Island, Ulleung-gun, and Shinan-gun. A scrutiny of these resources, categorized according to the tourism resource classification system, revealed a notable presence of new resources, chiefly in the domains of 'rural landscape', 'tourist resort/training facility', 'transportation facility', and 'natural resource'. Notably, many of these emerging resources were previously overlooked in official management targets or resource inventories pertaining to existing island tourism resources. Noteworthy examples include ports, beaches, and mountains, which, despite constituting a substantial proportion of the newly identified tourist resources, were not accorded prominence in spatial information datasets. This study holds significance in its ability to unearth novel tourism resources recognized by island tourism consumers through a gap analysis approach that juxtaposes the existing status of island tourism resource data with techniques utilizing social media big data. Furthermore, the methodology delineated in this research offers a valuable framework for domestic local governments to gauge local tourism demand and embark on initiatives for tourism development or regional revitalization.
Although arterial grafts are widely used due to the advantage of long-term patency in coronary bypass surgery, greater saphenous vein is still an important additional conduit. It was reported that preservation of the adventitia of vein graft and the adjacent tissues may bring the improved long-term graft patency. The aim of this study is to look for a harvest technique that can reduce vein injury and wound complications. Material and Method: In thirty-four patients that vein grafts were used for coronary bypass surgery, 50 harvest sites were included for the study. In 25 harvest sites in calf below knee (group 1), vein was exposed through a long incision and then clearly dissected from the adjacent tissue. Ten endoscopic vein harvests were performed in the thighs (group 2). Fifteen other vein grafts that were bluntly dissected were harvested from the thighs through three separate incisions (group 3). Result: Vein harvest time was longest in endoscopic harvest group (44.7$\pm$9.8 minutes) and shortest in group 3 (24.2$\pm$5.9 minutes) (p=0.000). Most avulsion injuries of vein branches happened in the endoscopic group. Sequential grafting numbers per vein were 1.72$\pm$0.98 with thigh vein graft and 1.16$\pm$0.37 with calf vein (p=0.02). Swelling of foot and/or leg, which was the most common wound complication after vein harvest, was most commonly presented in group 1 (20/25 sites; p=0.000). Tingling, the most common neurologic complication, was also most prevalent in group 1 (7/25 sites; p=0.013). The risk factor of the wound complication was vein harvest from calf, and the vein harvest technique was not a risk for wound complication. Conclusion: Vein harvest technique through three separate incisions from thigh presented shorter harvest time and less vein injury and wound complication compared with the endoscopic harvest technique from thigh or the harvest through a long incision from calf.
The Lecompte procedure for transposition of the great arteries has an advantage because it obviates the need for an extracardiac conduit for the reconstruction of the pulmonary outflow tract. We evaluated the effectiveness and the application of the Lecompte procedure. Material and Method: A retrospective review was conducted of the records of 46 patients who underwent the Lecompte procedure during the past 15 years. Mean age at operation was 29.2$\pm$20.3 (range: 3∼83) months. The diagnoses involved anomalies of the ventriculoarterial connection with ventricular septal defect and pulmonary outflow tract obstruction, such as transposition of the great arteries, double-outlet right ventricle, and double-outlet left ventricle. Result: Early mortality was 4.4% (2 of 46 patients) and late mortality was 6.8% (3 of 44). The mean follow-up was 11.2$\pm$6.9 years. Eighteen patients (43.9% of survivors, n=41) had pulmonary stenosis (pressure gradient above 30 mmHg), the main reason for which was a calcified monocusp valve (n=15, 83.3%). Seventeen of 46 patients (37.0%) underwent reoperation: 15 for pulmonary stenosis, 5 for residual ventricular septal defect, 4 for left ventricular outflow tract obstruction, 3 for pulmonary insufficiency, and 4 for other causes. The cumulative survival rates were 91.3$\pm$4.2%, and 87.0$\pm$5.8% at 10 and 15 years, respectively. The actuarial probabilities of freedom from reoperation for pulmonary stenosis were 90.6$\pm$4.5%, 73.9$\pm$7.3%, and 54.0$\pm$10.4% at 5, 10, and 15 years, respectively. Conclusion: The Lecompte procedure is an effective treatment modality. Repair in early age is possible with acceptable morbidity and mortality, but recurrent right ventricular outflow tract obstruction caused by degeneration of the monocusp valve is a problem that needs resolution.
We analysed differences in operative methods and postoperative outcome according to the severity of preoperative cyanosis in adult ToF (Tetralogy of Fallot) patients. Material and Method: From August 1989 to June 2001, thirty three adult patients, 18 females and 15 males, underwent total correction for ToF. Their age ranged from 15 years to 54 years (median: 34). Patients were divided into 2 groups by preoperative $SaO_2$ (arterial oxygen saturation): group I$(n=cyanotic,\;SaO_2\;\geq94\%)$ and group II $(acyanotic,\; SaO_2\geq95%)$. Preoperative median hemoglobin level was higher in group I compared to group II (17.5 g/dl vs 15 g/dl). Postoperative follow-up duration ranged from 1 to 94 months (670 patient-month, median: 14 months), and 63 two-dimensional echocardiographic examinations were done during this period. Result: There were no early or late mortality. With regard to RVOT (right ventricular outflow tract) reconstruction, trans-annular patch and RV-PA extracardiac conduit were used in 7 and 3 patients respectively, and all of them belonged to group I. In group I, cardiopulmonary bypass time, aortic cross-clamping time, ICU day, hospital day were significantly longer than in group II, and postoperative inotropic support was significantly greater than in group II. There was no ventricular arrhythmia in both groups, and one patient in group I suffered from atrial arrhythmia, which was resolved spontaneously after tricuspid and pulmonary valve replacement. During follow-up periods, functional class, residual RVOT stenosis and pulmonary regurgitation, tricuspid regurgitation, occurrence of ventricular and atrial arrhythmias were comparable between two groups. Conclusion: In adult ToF patients with severe preoperative cyanosis, more aggressive RVOT reconstruction and careful postoperative care are mandatory. However intermediate-term outcome of this group of patients is comparable to the patients with minimal or no preoperative cyanosis.
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